POSTERIOR INTEROSSEOUS ARTERY FLAP: OUR EXPERIENCE AND REVIEW OF MODIFICATIONS DONE

Hand Surgery ◽  
2014 ◽  
Vol 19 (02) ◽  
pp. 181-187 ◽  
Author(s):  
Poh Ling Fong ◽  
Winston Yoon Chong Chew
Keyword(s):  
Thumb Reconstruction ◽  
Flap Survival ◽  
Posterior Interosseous Artery ◽  
Hand Defects ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

This is a report on the 14 PIA flaps done in our centre for traumatic hand defects over both volar and dorsal aspects, as well as thumb reconstruction over a six-year period from 2000 to 2007. We were able to achieve reach to the DIPJ with the use of fascia extension and better flap survival with more perforators captured in the flap.

scholarly journals Posterior Interosseous Artery Flap for Hand Defects

2006 ◽  
Vol 62 (1) ◽  
pp. 33-35 ◽  
Author(s):  
BB Dogra ◽  
Manmohan Singh ◽  
B Chakravarty ◽  
S Basu
Keyword(s):  
Posterior Interosseous Artery ◽  
Hand Defects ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

Reverse Posterior Interosseous Artery Flap: A Reliable, Comfortable and Versatile Flap for Coverage of Soft Tissue Defects of Hand

2020 ◽  
Vol 16 (2) ◽  
pp. 73-79
Author(s):  
Mohammed Fahud Khurram ◽  
Sudheer Kumar Maurya ◽  
Mohd Yaseen ◽  
Madhav Chowdhry
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Posterior Interosseous Artery ◽  
Thickness Skin ◽  
Hand Defects ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap ◽  
Loupe Magnification ◽  
Tissue Defects ◽  
Entire Treatment

Background: Soft tissue defects of the hands require coverage with soft, pliable full-thickness skin. The posterior interosseous artery (PIA) flap fulfils all these requirements and also has significant advantages over other flaps; it is a single-stage procedure that does not sacrifice major vascular axis of the hand. However, the dissection can be challenging and requires meticulous skill. The objective of the study was to evaluate the reverse PIA flap for coverage of hand soft tissue defects in terms of its safety, reliability, comfort, function and aesthetic appearance.Methods: Over a period of 3 years, patients with soft tissue defects over the dorsum of the hand and first web space were observed. A standard PIA flap was raised using loupe magnification under general or brachial anesthesia. The size and location of the defect were noted along with the size and success of the flap.Results: Twelve patients, including nine males and three females, were taken up for this procedure. All the flaps survived completely except one with marginal necrosis not requiring a secondary procedure. All patients were quite satisfied with the procedure and went on to resume their work within a month or two.Conclusion: PIA flap is a safe, reliable option with great versatility for coverage of hand defects, especially over the dorsum. A well-planned flap surgery done under loupe magnification affords excellent results. The entire treatment also requires a shorter hospital stay and allows the patient to return to work quickly.

scholarly journals Venous super-drained posterior interosseous artery flap for dorsal hand defects

Microsurgery ◽  
2018 ◽  
Vol 38 (8) ◽  
pp. 876-881 ◽  
Author(s):  
Erhan Sönmez ◽  
Ersin Aksam ◽  
Mustafa Durgun ◽  
Onder Karaaslan
Keyword(s):  
Posterior Interosseous Artery ◽  
Dorsal Hand ◽  
Hand Defects ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

scholarly journals The Number of Perforators Included in Reversed Flow Posterior Interosseous Artery Flap

2016 ◽  
Vol 4 (12) ◽  
pp. e1162 ◽  
Author(s):  
Khaled A. Reyad ◽  
Ayman A. Shaker ◽  
Amir S. Elbarbary ◽  
Mohamed A. Sayed ◽  
Mohamed A. Elghareeb
Keyword(s):  
Reversed Flow ◽  
Posterior Interosseous Artery ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

scholarly journals Reverse-Flow Posterior Interosseous Flap—A Review of 68 Cases

Hand ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 112-116 ◽  
Author(s):  
Tahseen A. Cheema ◽  
Shankar Lakshman ◽  
Mohammad Amin Cheema ◽  
Shakeel Farrukh Durrani
Keyword(s):  
Soft Tissue ◽  
Reverse Flow ◽  
Fasciocutaneous Flap ◽  
Soft Tissue Coverage ◽  
Thumb Reconstruction ◽  
Flap Survival ◽  
Partial Necrosis ◽  
Hand Defects ◽  
Web Space

We are reporting our 10-year experience with 68 patients. Sixty-six flaps were of fasciocutaneous type and two were of osteofasciocutaneous type. These flaps were used for volar and dorsal traumatic hand defects, first web space reconstruction, thumb reconstruction, and repair of congenital anomalies. Sixty flaps (88.24%) had complete uneventful take-up. Four flaps developed partial necrosis, whereas four flaps suffered complete necrosis. The single most important factor for flap survival in our experience has been inclusion of at least two perforators to supply the skin pedal. The proximal flap dissection has a learning curve and all of our poor results were in the early part of our experience. We believe that posterior interosseous fasciocutaneous flap (PIF) is a versatile and reliable option for the challenging problems of hand soft-tissue coverage.

Anterior Transposition of the Posterior Interosseous Artery Flap through the Interosseous Membrane

1997 ◽  
Vol 22 (1) ◽  
pp. 32-33 ◽  
Author(s):  
A. GUPTA ◽  
A. WANG ◽  
W. BAYLIS ◽  
W. BREIDENBACH
Keyword(s):  
Interosseous Membrane ◽  
Vascular Pedicle ◽  
Posterior Interosseous Artery ◽  
Anterior Transposition ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

A posterior interosseous artery flap was used to cover a large palmar defect after passing it through the interosseous membrane to avoid tension on the vascular pedicle.

Sign in / Sign up

Export Citation Format

Share Document